NPO Organization Information

Enrollment Form
* Indicates Required Field
Please review all required fields before entering information.

 

 

 

Section 1

Organization

 

 

* Name

 

* Address1

 

  Address2

 

* City

 

* State

 

* Zip

 

* Telephone

 

  Fax

 

* Email

  *  Categories
(Select All That Apply)
Animal Rights Arts
Children Education
Environmental Fraternal
Health Miscellaneous
Public Safety Religious
Test
    Web Site Address

 

 

 

Section 2

Program Coordinator

 
   Primary   

 

* Name

 

  Title

  * Phone
  *  Email (Must be different than email given in Section 1)

 

 Secondary 

 

 

  Name

 

  Title

    Phone
    Email

 

 

 

Section 3

* Federal Tax ID Number

 

 

 

Section 4

NPO User Name, Password, and ID

 

 

* Select NPO User Name
(3-16 alphanumeric characters)

 


* Select NPO Password
(3-16 alphanumeric characters)

 


* Security Question: What is the primary coordinator’s mother’s maiden name?

 

 

 

 

* EPC NPO (Nonprofit) Passport Number - A 7 digit number, ex. 1234567 OR accept the ID that EPC has randomly selected for your organization. Remember to continually display your Passport Number to personally escort your Supporters to the EPC Experience!

 

 

 

 

 

Section 5

Organization's Bank

 

 

* Name 

  * State
  * Checking Account Numer
(See sample below.)

 

* Bank Routing Number
(9 digits -- See sample below.)

 

 

 

 

SAMPLE CHECK
For your convenience, here is a sample check indicating the Bank Routing Number (always 9 digits) and the Checking Account Number. Please note this information may appear slightly different on your particular check.

 

Pennies, Just Pennies!

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